Living kidney donation - an overview

• Published in: Urologe. Ausgabe A 2015-10, Vol.54 (10), p.1368-1375
• Main Authors: Weigand, K, Mühlstädt, S, Mohammed, N, Schaarschmidt, T, Fornara, P, Kawan, F
• Format: Article
• Language: ger
• Subjects: Germany; Humans; Informed Consent - legislation & jurisprudence; Informed Consent - standards; Kidney Transplantation - legislation & jurisprudence; Kidney Transplantation - standards; Living Donors - legislation & jurisprudence; Patient Selection; Practice Guidelines as Topic; Tissue and Organ Harvesting - legislation & jurisprudence; Tissue and Organ Harvesting - standards; Tissue and Organ Procurement
• ISSN: 1433-0563
• DOI: 10.1007/s00120-015-3907-z

The living kidney donation has become increasingly important in recent years. Because of the decreasing number of postmortem donors, there has been a dramatic increase in morbidity and mortality due to the long waiting times for patients on dialysis. By timely living donation after dialysis entry or even preemptively, this can be avoided. In addition, the living donor has better graft function and better graft survival which is due to the predictability of the donation, the optimal conditioning of donor and recipient, and the short ischemia time. To protect the donor, to provide legal protection, and to avoid abuse, the German legislature reacted with the Transplantation Act and its amendment. The recent recommendations for donor evaluation from the Amsterdam Forum have been used by the Federal Medical Council to revise current guidelines and guidelines for living donation will be drawn up. The focus of these efforts is standardization of the procedure and protection of the kidney donor. This is also reflected in the recommendations for organ removal technique and the selection of the organ to be used for kidney donation.